Active NPI
Celia Williams, D.O.
- Pediatrics Physician
- Brandon, FL
National Provider Identifier
1881989770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS14464
- Practice address
- 901 E Bloomingdale Ave Ste 501
Brandon, FL 33511-8118 - Phone
- (813) 699-3995
- Fax
- (813) 315-1625
- NPI assigned
- Jun 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB08949600 | NJ | |
| Pediatrics Physician | 208000000X | OS14464 | FL | Primary |
Addresses
Primary practice location
901 E Bloomingdale Ave Ste 501
Brandon, FL 33511-8118
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 967-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021142800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | celia.williams@pedsassoc.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14464 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | Current | Accepting new patients |
| Clinical Care Associates of the University of Pennsylvania Health Syst | Past | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
Locations
901 E Bloomingdale Ave
Ste 501
Brandon, FL 33511
Phone (813) 699-3995
900 S Pine Island Rd
Ste 800
Plantation, FL 33324
Phone (954) 967-6400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pediatric Associates
- Pediatrics Physician
- Brandon, FL
- NPI 1639945892
-
dba Pediatric Associates
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1790737468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1881989770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "954-967-6400",
"fax_number": "954-965-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E BLOOMINGDALE AVE STE 501",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118118",
"telephone_number": "813-699-3995",
"fax_number": "813-315-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CELIA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-18",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB08949600",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS14464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021142800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "celia.williams@pedsassoc.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "901 E Bloomingdale Ave Ste 501",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335118118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.